Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
can I ask your first name?
nice to meet you
why were you taking flagyl and prilosec?
Triple therapy for hpylori. Initially was taking 40mg prioslec as I had acid reflux. Then continued the 40 mg with flagyl and amoxicilinh. 3x a day.
Did the facial numbness come on right after starting them or did it take a while?
Developed this on last day of therapy.
okay so it could be a coincidence and the facial numbness is caused by something else
that is what I suspect
Continued prioslec and it continued. Stopped that too. 3 weeks on sensation remains.
okay does your eye on that side feel okay?
Never had this before. Slight eye pain. Went to the optician. Vision is fine and eyes are healthy.
okay I think you have bell's palsy
you need to see your GP and get on steroids
Doctor tested me and and I could feel her fingers on both sides on face. No diff.
No droopiness of face nothing. Smile normal everything.
so it feels the same when you touch it
I can feel touch equally. Just one side of face develops a sensation. A heaviness a stretchy dry feelinh
So no numbness as such.
could it be a viral infection outside of bell's?
dr has ordered blood tests and even b12 tests.
okay that is good
what about thyroid?
Will this recover on it its own?
Yes I believe it will
Could it be a facial nerve as it is entire one side of face
Also pain bridge of nose
yes absolutely it could be
the facial nerve is a common target for many viruses
I do think it is a virus causing it
What can I do in terms of recovery?
Just live healthy
drink plenty of water
and try to use the facial muscles
this will promote nerve healing
Its directly next to the ear. Cheek and chin and also occasional lip heated sensations.
definitely a nerve
if it doesn't heal, you need an MRI of the brain
what could it be?
It has been three weeks? I thought MS has different symptoms.
MS can cause any neurological symptoms
I doubt it is MS Ash
but it is to be given consideration if the symptoms don't go away
how long do I give the symptoms to heal?
I would say 4-6 weeks
Is this helpful?
I have asked the same symptoms to other drs on this forum and no one has mentioned MS so I am a bit gobsmacked.
Well basically as doctors our job is to create what is called a differential diagnosis
This is a list of ALL possibilities
MS is in the differential but WAY low on the list
I did mention MS to my dr who tested my reflexes and told me to go for an eye test..my reflexes were normal.
stroke is also on the differential although extremely unlikely
Like I said, MS is very unlikely but should be considered if this doesn't heal
welcome Ash :)
also ask your doctor is steroids should be tried "just in case"
they are needed
I also have some spots breakout and it itchiness in that area
it could be shingles!
It is very dull tho.
still could be
again, in the differential
In youe expert opinion what do you think it is. A horrible side effect to a medication or?
I think it is a viral infection of the facial nerve
any more questions for me?
are you there Ash?
Yes I am. And you are not saying what I want to hear so I leave a good rating lol
Isn't that my job though?
to tell the truth no matter how hard it is to hear?
thank you Ash
would you mind leaving that good rating for me?